Authors

1 Department of Physiotherary, Faculty of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Science, Arvand International Division, Ahvaz, Iran.

2 Department of Physiotherary, Rehabilitation Research Center, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objectives: Neck pain, specially non specific chronic neck pain(NSCNP) is one of the most common, disabling and costly musculoskeletal disorder. The most common treatments for this dysfunction are physical therapy or controlled immobilization with cervical collar, but the rational for must treatment approach based on clinical experiences more than scientific researches.Evidence shown that due to repeated movement or/and sustained posture overloading apply on some structural element that can lead to pain and disability  The objective of  this study was to the effect of soft collar on pain intensity and level of disability in people with NSCNP.
Subjects and Methods: In this longitudinal study design 16 subjects with NSCNP having the inclusion criteria were participated. Collar was applied for two weeks for all participants.Collar limited flexion, extension and lateral bending completely and permitted 30˚ rotation to both sides. Changes of pain and disability level were measured by Persian version of Neck Pain and Disability Scales and Neck Disability Index questionnairs before using, one week and two weeks after use of collar. The collected data was analyzed by SPSS-16, K-S and Repeated Measurment ANOVA tests.
Results: The level of pain and disability at all the three stages of measurement were significantly reduced (P<0/001). Pain and disability moderately correlated together at all stages of measurement. 
Conclusions: Based on MSI and ICF models onset of mechanical dysfunctions are probably due to overloading to do so, unloading can improve signs or/and symptoms of patients. Results of this research emphasis that unloading mechanism of collar can improve both pain and disability level of people with NSCNP.

Keywords

References

1-Schellingerhout J, Heymans M, Verhagen A, Arriane P, Lewis M, De Vet Hc, "et al". Prognosis of patients with nonspecific neck pain. Spine 2010 Agu; 35(17): E827–E835.
2-Ylinen J, Takala E, Nykanen M, Häkkinen A, Mälkiä E, Pohjolainen T, "et al". Active neck muscle training in the treatment of chronic neck pain in women. JAMA 2003May; 289(19): 2509-2516.
3-Andersen L, Kjær M, Andersen C, Hansen PB, Zebis MK, Hansen K, "et al". Muscle activation during selected strength exercises in women with chronic neck muscle pain. PhysTher 2008 Jun; 88(6): 703–711.
4-Sjolander P,  Michaelson P, Jaric S, Djupsjobacka M. Sensorimotor disturbances in chronic neck pain-Range of motion,peak velocity, smoothness of movement, and repositioning acuity. Manual Therapy 2008; 13: 122–131.
5-Vuillerme N, Pinsault N. Experimental neck muscle pain impairs standing balance in humans. Experimental Brain Research 2009 Feb; 192(4): 723-729.
6-Gemmell H, Miller P. Comparative effectiveness of manipulation, mobilisation and the activator instrument in treatment of non-specific neck pain.Chiropractic& Osteopathy 2006 Apr; 14:7. 
7-Haines T, Gross A,  Burnie S, Goldsmith CH, Perry L, Graham N, "et al". A Cochrane review of patient education for neck pain. Spine 2009; 9(10): 859–871.
8-Falla D, Jull G, Russell T, Vesenzio B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Physical therapy 2007Apr; 87(4): 408-417.
9-Kuijper B, Tans J, Beelen A, Nollet F, De Visser M. Cervical collar or physiotherapy  versus wait and see policy for recent onset cervical radiculopathy. BMJ 2009Oct 7; 339: b3883.
10-Persson L, Lilja A. Pain, coping, emotional state and physicalfunction in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar. Disability and Rehabilitation 2001; 23(8): 325-335 .
11-Schnabel M,  Ferrari R, Vassiliou T, Kaluza G. Randomised, controlled outcome study of active mobilisation compared with collar therapy for whiplash injury. Emerg Med J 2004; 21(3): 306-310.
12-Persson L, CarlssonC, Carlsson  J. Long-lasting cervical radicular pain managed with surgery,physiotherapy, or a cervical collar. Spine 1997; 22(7): 751-758.
13-Vuillerme N, Pinsault N, Vaillant J. Postural  control during  quiet standing  following  cervical muscular fatigue:effect of changes in sensory inputs.  Neuroscience Letters 2005; 378: 135-139.
14-Michaelson P, Michaelson M, Jaric S, Latash ML, Sjo¨lander P, Djupsjo¨backa M. Vertical posture and head stability in pations with chronic neck pain. RehabilMed 2003; 35: 229-235.
15-Carter V, FasenJ, Roman J, Karen WH, Cheryl MP. The Effect of a Soft Collar, Used as Normally Recommended or Reversed, on Three Planes of of Motion. J Orthop Sports Phys Ther 1996; 23(3): 209-215.
16-Mousavi SJ, Parnianpour M, Montazeri A, , Mehdian H, Karimi A, Abedi M, Mobini B, Askari Ashtiyani A, Hadian MR. Translation and validation study of the Iranian versions of the Neck Disability Index and the Neck Pain and Disability Scale. Spine 2007; 32(26): 825-831 .
17-McDonnell  M, Sahrmann S, Van Dillen L. A Specific Exercise Program and Modification of Postural Alignment for Treatment of Cervicogenic Headache. Orthop Sports Phys Ther 2005Jan; 35(1): 3-15.
18-Muller M, Maluf  K. Tissue adaptation to physical stress:A proposed physical stress theory to guide physical therapist practice , education, andresearch. Physical Therapy 2002; 82(4): 383-403.
19-Davenport T,Kulig K, Matharu Y, Blanco E. TheEdUReP model for nonsurgical management of tendinopathy Physical Therapy 2005; 85(10): 1094-1103.
20-Hermann k, Reese CS. Relationships Among Selected Measures of Impairment, Functional Limitation, and Disability in Patients With Cervical Spine Disorders. Phys Ther 2001March; 81(3): 903-912.
Jundishapur Scientific Medical Journal
Volume 14, Issue 1 - Serial Number 94
May and June 2015
Pages 30-40

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History

  • Receive Date: 11 October 2014
  • Revise Date: 06 January 2015
  • Accept Date: 28 January 2015

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